NPI | 1952833378 |
---|---|
Former Name | EMILY JO WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2023-02590) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 12762284-1205) |
207P00000X Emergency Medicine (Licence: MN 64483) | |
207PS0010X Emergency Medicine, Sports Medicine (Licence: UT 12762284-1205) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-02-02 |